Provider Demographics
NPI:1427052356
Name:MARTINEZ, SONIA ELENA (RPH)
Entity type:Individual
Prefix:MISS
First Name:SONIA
Middle Name:ELENA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 TUNIS ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2460
Mailing Address - Country:US
Mailing Address - Phone:786-385-4294
Mailing Address - Fax:
Practice Address - Street 1:6627 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7919
Practice Address - Country:US
Practice Address - Phone:305-665-4411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31297183500000X
FLPS 31297183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist